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07718 (SFD)Building 784M Via lefta Address Owner Deane mimes Mailing Address 15 Aln"taf City Zip Tel. Rancho Miracte MID Contractor SAW* Address City lZip Tela State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 1 CityI Zip I State I Lic. # LICENSED CONTRACTOR'S, DECLARATION 11 hereby affirm tgat I am licensed. under proxisiohs of Chapter 9 (commencing with Section 7000) of Divisiiorr3 of the Business and Profe/§sions Code, and my license iso =in full fiirpce ynd effect"'..+ e ,. SIGNATl1RE t-.�' V '�- :, i�.d�.r'"'^"" ".� ',i► DA�f OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of. the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Dale Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Dale Mailing Address City, State, Zip No. LDING: TYPE CONST. OCC. GRP.; P. Number Legal Description TraCt 23971 Project Description Phase I -A. Lot 70 Sq. Ft. 2700 R No. 1 1/2 No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Q Const. y Mech.' Electrical Plumbing 138 Wn S.M.I. Q Ara Grading Driveway Enc. Infrastructure TOTAL 4.758.37 REMARKS. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date a%�ermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT 2ND FL. SQ. FT. CKSLAB GRADE 5 �� YARD SPKLR SYSTEM POR. SQ, FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS SEWER OR SEPTIC TANK DRAINAGE PIPING CAR P. SQ. FT. DUCT WORK ROCKSTORAGE WALL SQ. FT. DRINKING FOUNTAIN. SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ REINF. STEEL WATER PIPING NOTE: Not to be used as property tax valuation TEMP. POLE FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM $ KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER, B.T.U. SO. FT. ® c BATH TUB VENTILATION SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER GAS PIPING PERMIT FEE FEE PERMIT FEE DBL __J____PERMIT TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR - SETBACK ROUND PLUMBIC UNDERGROUND A.C. UNIT COLL, AREA CKSLAB GRADE 5 �� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCKSTORAGE FOUND. REINF. ii GAS (ROUGH) Val Ad rr METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. J O FINAL INSP. l LVL FRAMING 7�P6 FINAL INSP. © �d�U ROOFING 0. //�� ld /'� Sr/"w. w1� Fr s /moo REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL MESH e INSULATION/SOUND 7/) iv [[[ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ,Wining nngnier Iran Ever May 1, 2002 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Dear Homeowner: (7 60) 777=7000 FAX (760) 777-7101 Please be advised of a clarification to the street name for the following structures. The structures formerly addressed on Via Calienta will now be addressed ending with an "e" as follows: Address 78-345 VIA CALIENTE 78-355 VIA CALIENTE 78-360 VIA CALIENTE 78-365 VIA CALIENTE 78-370 VIA CALIENTE 78-375 VIA CALIENTE 78-380 VIA CALIENTE 78-385 VIA CALIENTE 78-390 VIA CALIENTE 78-395 VIA CALIENTE 604-203-012 604-203-006 604-202-008 604-203-007 604-202-007 604-203-008 604-202-006 604-203-009 604-202-005 604-203-010 The Assessor's Office, Post Office, utilities, and Riverside County 911 have also been notified. Please contact me at (760) 777-7019 if I may be of further assistance. Thank you. Sincerely, Diane Aaker Building & Safety Department M